UNIFIED CRITERIA OF POSTOPERATIVE COMPLICATIONS IN ASSESSING THE EFFICIENCY AND SAFETY OF SURGICAL METHODS FOR THE TREATMENT OF BENIGN PROSTATE HYPERPLASIA

Аннотация

Unification of postoperative complications criteria of surgical modalities for the treatment of benign prostatic hyperplasia (BPH) based on the Clavien-Dindo classification. Efficacy and safety evaluation of different surgical modalities for the BPH treatment by systematizing postoperative complications. 150 patients with BPH were divided into three groups depending on the surgical modality of prostatic hyperplasia. Group 1 consisted of 60 (40%) patients who underwent open transvesical simple prostatectomy (OETA), Group 2 - 50 (33.3%) patients who underwent transurethral resection of the prostate (TURP), Group 3 - 40 (26.7%) patients underwent holmium laser enucleation of the prostate (HoLEP). The Clavien-Dindo classification was used to adapt the assessment of postoperative complications of BPH operative therapy. To use the Clavien-Dindo classification for an unbiased evaluation of surgical treatment quality and systematization of complications, it must first be adapted, taking into account the method specifics and the postoperative period. OETA is an effective method to treat BPH but is accompanied by a longer period of hospitalization compared to TURP and HoLEP, more severe complications, conclusively more often requiring additional interference. In terms of trauma, blood transfusions frequency, and the length of hospital stay, the results of TURP are comparable to those of HoLEP but are inferior in morbidity.